Facial trauma Flashcards
1
Q
what is it?
A
maxillary fractures
a bridge between the cranial base and the dental occlusal plane - functionally and cosmetically important structure
fracture of these bones is potentially life-threatening as well as disfiguring
high-energy blunt force injury to the facial skeleton
2
Q
how does it present?
A
pain, decreased visual acuity, diplopia hypoaesthesia in infraorbital region periorbital ecchymosis oedema enopthalmos restriction of ocular movement bony step of orbital rim
3
Q
how is it managed?
A
CT sinuses - ‘tear drop’ sign
blow out fracture
conservative
surgical repair of bony walls if: entrapment/ large defect/ significant enophthalmos
le fort fractures are the midfacial fractures - make sure you’ve looked for other injuries and ABCDE - can cause airway obstruction
